Top

Gepubliceerd in:

31-05-2024 | Original Paper

Affective Themes Related to Parenting Among Mothers in Treatment for Opioid Use Disorder

Auteurs: Anna L. Herriott, Brooke Davis, Sydney L. Hans

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 6/2024

Abstract

This study examines the thematic content of four negative affective tones—frustration, anger, anxiety and guilt—expressed by mothers in treatment for opioid use disorder (OUD) as they describe their relationships with their preschool-aged children. The sample included 150 African American women with children between 36 and 63 months of age (M = 48.5, SD = 7.4). The Working Model of the Child Interview was used to generate mothers’ narratives of their children and of themselves as parents. Transcripts were rated on the degree to which specific affective tones were present. Follow-up thematic analysis was conducted on transcripts where high levels of four affects were expressed: frustration (n = 13); anger (n = 6); guilt (n = 9); and anxiety (n = 7), with frustration and anger combined in the final analysis given overlap in content themes. The findings, which included mothers’ anger/frustration about their child’s challenging behavior; guilt about the impact of their substance misuse on the child; and anxiety about the child getting hurt or becoming ill, reflected mothers’ desires to be good parents. Some themes cut across multiple negative emotions, including managing child behavior, the consequences of substance misuse, and co-parenting with family members. Also underlying all the affective tones was a sense of powerlessness. The findings underscore the importance of providing supports for parents who are in treatment for SUD that center parents’ emotions.

vorige artikel School Racial Composition and Changes in Black Children’s Academic Engagement and Motivation During Late Elementary School

Ainsworth, M. D., Blehar, M., Waters, E., & Wall, S. (1978). Patterns of attachment: A psychological study of the Strange Situation. Psychology Press.

Alvarez-Monjarás, M., Mahon, T., & Suchman, N. E. (2019). Does maternal reflective functioning mediate associations between representations of caregiving with maternal sensitivity in a high-risk sample? Psychoanalytic Psychology, 36(1), 82–91. https://doi.org/10.1037/pap0000166.CrossRefPubMed

Barnett, E. R., Knight, E., Herman, R., Amarakaran, K., & Jankowski, M. K. (2021). Difficult binds: A systematic review of facilitators and barriers to treatment among mothers with substance use disorders. Journal of Substance Abuse Treatment, 126. https://doi.org/10.1016/j.jsat.2021.108341.

Benoit, D., Parker, K. C., & Zeanah, C. H. (1997). Mothers’ representations of their infants assessed prenatally: Stability and association with infants’ attachment classifications. Journal of Child Psychology and Psychiatry, 38(3), 307–313. https://doi.org/10.1111/j.1469-7610.1997.tb01515.x.CrossRefPubMed

Bowlby, J. (1969). Attachment and Loss: Volume I: Attachment. New York: Basic Books. 1982.

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.CrossRef

Chou, J. L., Cooper‐Sadlo, S., Diamond, R. M., Muruthi, B. A., & Beeler‐Stinn, S. (2020). An exploration of mothers’ successful completion of family‐centered residential substance use treatment. Family Process, 59(3), 1113–1127. https://doi.org/10.1111/famp.12501.CrossRefPubMed

Cicchetti, D. V. (1994). Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology. Psychological Assessment, 6(4), 284–290.CrossRef

Cleveland, L. M., Bonugli, R. J., & McGlothen, K. S. (2016). The mothering experiences of women with substance use disorders. Advances in Nursing Science, 39(2), 119–129. https://doi.org/10.1097/ANS.0000000000000118.CrossRefPubMed

Constantinou, G., Varela, S., & Buckby, B. (2021). Reviewing the experiences of maternal guilt–the “Motherhood Myth” influence. Health Care for Women International, 42(4-6), 852–876. https://doi.org/10.1080/07399332.2020.1835917.CrossRefPubMed

Dayton, C. J., Levendosky, A. A., Davidson, W. S., & Bogat, G. A. (2010). The child as held in the mind of the mother: The influence of prenatal maternal representations on parenting behaviors. Infant Mental Health Journal: Official Publication of the World Association for Infant Mental Health, 31(2), 220–241. https://doi.org/10.1002/imhj.20253.CrossRef

Dix, T. (1991). The affective organization of parenting: Adaptive and maladaptative processes. Psychological Bulletin, 110(1), 3–25. https://doi.org/10.1037/0033-2909.110.1.3.CrossRefPubMed

Edwards, R., Herriott, A., Finger, B., & Hans, S. (2021). Associations between parenting representations and behavior among young mothers and mothers with opioid use disorder. Infant Mental Health Journal, 42(6), 796–811. https://doi.org/10.1002/imhj.21948.CrossRefPubMed

Ehrmin, J. T. (2001). Unresolved feelings of guilt and shame in the maternal role with substance‐dependent African American women. Journal of Nursing Scholarship, 33(1), 47–52. https://doi.org/10.1111/j.1547-5069.2001.00047.x.CrossRefPubMed

Finger, B., Jobin, A., Bernstein, V. J., & Hans, S. (2018). Parenting contributors to early emerging problem behaviour in children of mothers in methadone maintenance treatment. Infant and Child Development, 27(1), e2042 https://doi.org/10.1002/icd.2042.CrossRef

Gardner, F., & Leijten, P. (2017). Incredible years parenting interventions: Current effectiveness research and future directions. Current Opinion in Psychology, 15, 99–104.CrossRefPubMed

George, C., Kaplan, N., & Main, M. (1996). Adult attachment interview. Berkeley (Third edition): Unpublished manuscript, Department of Psychology, University of California.

Godwin, M., Green, S., Jones, H., & Robbins, S. S. (2020). Perinatal substance use disorders treatment. North Carolina Medical Journal, 81(1), 36–40.CrossRefPubMed

Grant, T., Huggins, J., Graham, J. C., Ernst, C., Whitney, N., & Wilson, D. (2011). Maternal substance abuse and disrupted parenting: Distinguishing mothers who keep their children from those who do not. Children and Youth Services Review, 33(11), 2176–2185. https://doi.org/10.1016/j.childyouth.2011.07.001.CrossRef

Hans, S. L., Bernstein, V. J., & Henson, L. G. (1999). The role of psychopathology in the parenting of drug-dependent women. Development and Psychopathology, 11(4), 957–977.CrossRefPubMed

Hans, S., Herriott, A., Finger, B., Edwards, R., & McNeilly, C. (2022). Parenting among women in methadone treatment: Contributions of mental health problems and violence exposure. Child Psychiatry and Human Development. https://doi.org/10.1007/s10578-022-01463-z.

Hatzis, D., Dawe, S., Harnett, P., & Barlow, J. (2017). Quality of caregiving in mothers with illicit substance use: a systematic review and meta-analysis. Substance Abuse: Research and Treatment, 11, https://doi.org/10.1177/1178221817694038.

Hatzis, D., Dawe, S., Harnett, P., & Loxton, N. (2019). An investigation of the impact of childhood trauma on quality of caregiving in high risk mothers: Does maternal substance misuse confer additional risk? Child Psychiatry & Human Development, 50(5), 835–845. https://doi.org/10.1007/s10578-019-00886-5.CrossRef

Havighurst, S. S., Radovini, A., Hao, B., & Kehoe, C. E. (2020). Emotion-focused parenting interventions for prevention and treatment of child and adolescent mental health problems: A review of recent literature. Current Opinion in Psychiatry, 33(6), 586–601. https://doi.org/10.1097/YCO.0000000000000647.CrossRefPubMed

Hser, Y. I., Lanza, H. I., Li, L., Kahn, E., Evans, E., & Schulte, M. (2015). Maternal mental health and children’s internalizing and externalizing behaviors: Beyond maternal substance use disorders. Journal of Child and Family Studies, 24(3), 638–648. https://doi.org/10.1007/s10826-013-9874-3.CrossRefPubMedPubMedCentral

Huth‐Bocks, A. C., Levendosky, A. A., Bogat, G. A., & Von Eye, A. (2004). The impact of maternal characteristics and contextual variables on infant–mother attachment. Child Development, 75(2), 480–496.CrossRefPubMed

Ivers, J. H., Harris, A., McKeown, P., & Barry, J. (2021). Mothers experiences of the Parenting Under Pressure Program (PuP) in a Residential Therapeutic Community: A qualitative study. Journal of Psychoactive Drugs, 53(3), 230–237. https://doi.org/10.1080/02791072.2020.1856455.CrossRefPubMed

Kerwin, M. E., Giorgio, J., Steinman, R., & Rosenwasser, B. (2014). In their own voice: Mothers in drug treatment and their views on parenting, behavioral parent training, and barriers to engagement. Journal of Social Work Practice in the Addictions, 14(4), 338–358. https://doi.org/10.1080/1533256X.2014.960578.CrossRef

Koo, T. K., & Li, M. Y. (2016). A guideline of selecting and reporting intraclass correlations for reliability research. Journal of Chiropractic Medicine, 15(2), 155–163.CrossRefPubMedPubMedCentral

Korja, R., Ahlqvist-Björkroth, S., Savonlahti, E., Stolt, S., Haataja, L., Lapinleimu, H., & Study Group, P. I. P. A. R. I. (2010). Relations between maternal attachment representations and the quality of mother–infant interaction in preterm and full-term infants. Infant Behavior and Development, 33(3), 330–336.CrossRefPubMed

Larrieu, J. A., Stevens, M., Zeanah, C. H. (2014). The Working Model of the Child Interview. In S. Farnfield & P. Holmes (Eds.), The Routledge Handbook of Attachment: Assessment (pp. 133–143). Routledge. https://doi.org/10.4324/9781315770666.ch8.

Maguire-Jack, K., Steinman, K. J., Lesnick, J., Solomon, A., West, K., Roush, K., & Cunningham, N. (2022). Implementing Triple P during the COVID-19 pandemic with families at risk for substance use. Child Abuse & Neglect, 129, 105636.CrossRef

Malone, J. C., Levendosky, A. A., Dayton, C. J., & Bogat, G. A. (2010). Understanding the “ghosts in the nursery” of pregnant women experiencing domestic violence: Prenatal maternal representations and histories of childhood maltreatment. Infant Mental Health Journal, 31(4), 432–454.CrossRefPubMed

Moreland, A., Hartley, C., DelMas, S., & McRae-Clark, A. (2020). Examining stressors and available parenting resources for opioid-using mothers: Qualitative findings from an inpatient substance use treatment program. Community Mental Health Journal, 56(3), 426–434. https://doi.org/10.1007/s10597-019-00478-6.CrossRefPubMed

Pajulo, M., Suchman, N., Kalland, M., & Mayes, L. (2006). Enhancing the effectiveness of residential treatment for substance abusing pregnant and parenting women: Focus on maternal reflective functioning and mother‐child relationship. Infant Mental Health Journal, 27(5), 448–465. https://doi.org/10.1002/imhj.20100.CrossRefPubMedPubMedCentral

Paris, R., Sommer, A., & Marron, B. (2017). Project BRIGHT: An attachment-based intervention for mothers with substance use disorders and their young children. In M. Muzik & K. Rosenblum (Eds.), Motherhood in the Face of Trauma: Pathways Towards Healing and Growth (pp. 181–196). Cham: Springer International Publishing.

Patton, M. Q. (1999). Enhancing the quality and credibility of qualitative analysis. Health Services Research, 34(5 Pt 2), 1189–1208.PubMedPubMedCentral

Polansky, M., Lauterbach, W., Litzke, C., Coulter, B., & Sommers, L. (2006). A qualitative study of an attachment‐based parenting group for mothers with drug addictions: On being and having a mother. Journal of Social Work Practice, 20(2), 115–131. https://doi.org/10.1080/02650530600776673.CrossRef

Prikhidko, A., & Swank, J. M. (2020). Exhausted parents experience of anger: The relationship between anger and burnout. The Family Journal, 28(3), 283–289. https://doi.org/10.1177/1066480720933543.CrossRef

Rosenblum, K. L., McDonough, S., Muzik, M., Miller, A., & Sameroff, A. (2002). Maternal representations of the infant: Associations with infant response to the still face. Child Development, 73(4), 999–1015. https://doi.org/10.1111/1467-8624.00453.CrossRefPubMed

Sadler, L. S., Slade, A., Close, N., Webb, D. L., Simpson, T., Fennie, K., & Mayes, L. C. (2013). Minding the baby: Enhancing reflectiveness to improve early health and relationship outcomes in an interdisciplinary home‐visiting program. Infant Mental Health Journal, 34(5), 391–405. https://doi.org/10.1002/imhj.21406.CrossRefPubMed

Sanders, M. R., Kirby, J. N., Tellegen, C. L., & Day, J. J. (2014). The triple P-positive parenting program: A systematic review and meta-analysis of a multi-level system of parenting support. Clinical Psychology Review, 34(4), 337–357.CrossRefPubMed

Sandnes, K., Lydersen, S., Berg Kårstad, S., & Berg‐Nielsen, T. S. (2021). Measuring mothers’ representations of their infants: Psychometric properties of the clinical scales of the Working Model of the Child Interview in a low‐to moderate‐risk sample. Infant Mental Health Journal, 42(5), 690–704.CrossRefPubMed

Schechter, D. S., Coates, S. W., Kaminer, T., Coots, T., Zeanah, Jr, C. H., Davies, M., & McCaw, J. E. (2008). Distorted maternal mental representations and atypical behavior in a clinical sample of violence-exposed mothers and their toddlers. Journal of Trauma & Dissociation, 9(2), 123–147.CrossRef

Silva, S. A., Pires, A. P., Guerreiro, C., & Cardoso, A. (2013). Balancing motherhood and drug addiction: The transition to parenthood of addicted mothers. Journal of Health Psychology, 18(3), 359–367. https://doi.org/10.1177/1359105312443399.CrossRefPubMed

Slade, A. (2007). Reflective parenting programs: Theory and development. Psychoanalytic Inquiry, 26(4), 640–657. https://doi.org/10.1080/07351690701310698.CrossRef

Sokolowski, M. S., Hans, S. L., Bernstein, V. J., & Cox, S. M. (2007). Mothers’ representations of their infants and parenting behavior: Associations with personal and social‐contextual variables in a high‐risk sample. Infant Mental Health Journal, 28(3), 344–365.CrossRefPubMed

Solomon, J., & George, C. (1996). Defining the caregiving system: Toward a theory of caregiving. Infant Mental Health Journal: Official Publication of The World Association for Infant Mental Health, 17(3), 183–197. 10.1002/(SICI)1097-0355(199623)17:3<183::AID-IMHJ1>3.0.CO;2-Q.CrossRef

Stormshak, E. A., Bierman, K. L., McMahon, R. J., & Lengua, L. J. (2000). Parenting practices and child disruptive behavior problems in early elementary school. Journal of Clinical Child Psychology, 29(1), 17–29.CrossRefPubMedPubMedCentral

Stover, C. S., Carlson, M., Patel, S., & Manalich, R. (2018). Where’s dad? The importance of integrating fatherhood and parenting programming into substance use treatment for men. Child Abuse Review, 27(4), 280–300. https://doi.org/10.1002/car.2528.CrossRefPubMed

Suchman, N. E., & Luthar, S. S. (2000). Maternal addiction, child maladjustment and socio‐demographic risks: Implications for parenting behaviors. Addiction, 95(9), 1417–1428. https://doi.org/10.1046/j.1360-0443.2000.959141711.x.CrossRefPubMedPubMedCentral

Suchman, N., Mayes, L., Conti, J., Slade, A., & Rounsaville, B. (2004). Rethinking parenting interventions for drug-dependent mothers: From behavior management to fostering emotional bonds. Journal of Substance Abuse Treatment, 27(3), 179–185. https://doi.org/10.1016/j.jsat.2004.06.008.CrossRefPubMed

Suchman, N. E., DeCoste, C., Borelli, J. L., & McMahon, T. J. (2018). Does improvement in maternal attachment representations predict greater maternal sensitivity, child attachment security and lower rates of relapse to substance use? A second test of Mothering from the Inside Out treatment mechanisms. Journal of Substance Abuse Treatment, 85, 21–30.CrossRefPubMed

Sutherland, J. A. (2010). Mothering, guilt and shame. Sociology Compass, 4(5), 310–321. https://doi.org/10.1111/j.1751-9020.2010.00283.x.CrossRef

Tambelli, R., Odorisio, F., & Lucarelli, L. (2014). Prenatal and postnatal maternal representations in nonrisk and at‐risk parenting: Exploring the influences on mother–infant feeding interactions. Infant Mental Health Journal, 35(4), 376–388.CrossRefPubMed

Teubert, D., & Pinquart, M. (2010). The association between coparenting and child adjustment: A meta-analysis. Parenting: Science and Practice, 10(4), 286–307. https://doi.org/10.1080/15295192.2010.492040.CrossRef

Vreeswijk, C. M., Maas, A. J. B., & van Bakel, H. J. (2012). Parental representations: A systematic review of the working model of the child interview. Infant Mental Health Journal, 33(3), 314–328.CrossRefPubMed

Webster-Stratton, C. (2001). The incredible years: Parents, teachers, and children training series. Residential Treatment for Children & Youth, 18(3), 31–45.CrossRef

Wolfson, L., Schmidt, R. A., Stinson, J., & Poole, N. (2021). Examining barriers to harm reduction and child welfare services for pregnant women and mothers who use substances using a stigma action framework. Health & Social Care in the Community, 29(3), 589–601. https://doi.org/10.1111/hsc.13335.CrossRef

Wood, B. L., Hargreaves, E., & Marks, M. N. (2004). Using the Working Model of the Child Interview to assess postnatally depressed mothers’ internal representations of their infants: A brief report. Journal of reproductive and infant psychology, 22(1), 41–44.CrossRef

Zeanah, C. H., & Benoit, D. (1995). Clinical applications of a parent perception interview in infant mental health. Child and Adolescent Psychiatric Clinics of North America, 4(3), 539–554.CrossRef

Zeanah, C. H., Benoit, D., Hirshberg, L., & Barton, M. (1986). Working model of the child interview: Rating scales and classifications. Unpublished manuscript. New Orleans: Louisiana State University School of Medicine.

Zeanah, C. H., Benoit, D., Hirshberg, L., Barton, M. L., & Regan, C. (1994). Mothers’ representations of their infants are concordant with infant attachment classifications. Developmental Issues in Psychiatry and Psychology, 1(1), 1–14.

Titel: Affective Themes Related to Parenting Among Mothers in Treatment for Opioid Use Disorder
Auteurs: Anna L. Herriott
Brooke Davis
Sydney L. Hans
Publicatiedatum: 31-05-2024
Uitgeverij: Springer US
Gepubliceerd in: Journal of Child and Family Studies / Uitgave 6/2024
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI: https://doi.org/10.1007/s10826-024-02829-8

Andere artikelen Uitgave 6/2024

Effects of a Soft Baby Carrier on Fathers’ Behavior and Hormones: A Randomized Controlled Trial

Open Access
Original Paper

The Association between Mindful Parenting, and Internalizing and Externalizing Symptoms in Adolescence

Open Access
Original Paper

Caregiver Parenting Stress Associated with Delays in Child Social-Emotional and Motor Development

Original Paper

Nature of child abuse in war-torn districts in Ethiopia: the case of Amhara Region, Chenna and Maikadra

Original Paper

Preparation for Bias Decisions and Conversations with Young Children Following the Murder of George Floyd

Original Paper

Parental Warmth and Children’s Subjective Well-Being in China: the Indirect Effect of Parent–Child Relationship

Original Paper